Roddi R, Riggio E, Gilbert P M, Hovius S E, Vaandrager J M, van der Meulen J C
Department of Plastic and Reconstructive Surgery, University Hospital Rotterdam, Dijkzigt, The Netherlands.
J Craniomaxillofac Surg. 1994 Feb;22(1):23-32. doi: 10.1016/s1010-5182(05)80292-6.
We critically review 13 patients with progressive hemifacial atrophy treated with three basic surgical procedures (free flap transplantation, alloplastic implants, micro-fat injections 'lipofilling') and further ancillary techniques. In spite of the satisfactory results achieved with the procedures, with the exception of alloplasts, we feel that lipofilling may be considered an interesting solution for soft tissue augmentation of the face especially for moderate adipose defects, due to its repeatability, no donor site morbidity, no complications at the recipient site such as lesions resulting from dissection, bleeding, necrosis, etc. This technique can be performed in a day-hospital with short surgery time, at low cost and without a highly skilled team. For severe grades of adipose atrophy, because of the low blood supply to these tissues which interferes with take of any type of autograft, we think that free flaps actually represent one of the best solutions for soft tissue augmentation.
我们严格审查了13例采用三种基本外科手术（游离皮瓣移植、异体植入物、微脂肪注射“脂肪填充”）及其他辅助技术治疗的进行性半侧面部萎缩患者。尽管这些手术取得了令人满意的效果，但除了异体植入物外，我们认为脂肪填充因其可重复性、无供区并发症、受区无诸如因解剖、出血、坏死等导致的病变等并发症，对于面部软组织增加尤其是中度脂肪缺损而言，可能是一种有趣的解决方案。该技术可在日间医院进行，手术时间短，成本低，且无需高技能团队。对于严重程度的脂肪萎缩，由于这些组织血供不足会影响任何类型自体移植的存活，我们认为游离皮瓣实际上是软组织增加的最佳解决方案之一。
